- Joined
- Nov 13, 2010
- Messages
- 231
Hello, I've twice been resected at my ileocecal/colon region due to CD, which is lower RIGHT quadrant. Now for the past 2 months I've had pain in my lower LEFT quadrant. This lower left pain seems to have come on pretty quickly. Nothing shows up on MRI enterography and recently my GI did a colonoscopy and used his enteroscope to go 3-4 feet above my anastamosis into the small bowel and saw no Crohn's there. He is recommending surgery, though I haven't spoken to him since the procedure except in my groggy state, so I'm not sure what he thinks is causing my left sided pain.
I fear this may be CD farther removed than the 3-4 feet that he explored. I would hate to have a surgical resection so far away from my colon, which would be hard to survey via colonoscopy. And in general I would fear having two surgical sites.
My GI advises that my anastamosis is too small to fit a pill-cam through, which is a real shame because that's the test I would really like to have next.
I'm wondering whether there is any possibility that my pain could be due to adhesions or a hernia of some sort. Isn't a GI doc supposed to be able to diagnose those conditions though? I notice I have the most pain when lying on my left side, medium pain when sitting, and the least pain when standing. Not sure if that means anything or not.
My other GI wants to throw Humira at it and see if I feel better, and I'm not sure what to think of that approach. I'm really frustrated and can't decide how to proceed when I feel like the diagnosis is unclear to me. Among other concerns about this approach, I've been told that surgeons don't like to operate on patients who are taking biologics due to worse healing outcomes.
I fear this may be CD farther removed than the 3-4 feet that he explored. I would hate to have a surgical resection so far away from my colon, which would be hard to survey via colonoscopy. And in general I would fear having two surgical sites.
My GI advises that my anastamosis is too small to fit a pill-cam through, which is a real shame because that's the test I would really like to have next.
I'm wondering whether there is any possibility that my pain could be due to adhesions or a hernia of some sort. Isn't a GI doc supposed to be able to diagnose those conditions though? I notice I have the most pain when lying on my left side, medium pain when sitting, and the least pain when standing. Not sure if that means anything or not.
My other GI wants to throw Humira at it and see if I feel better, and I'm not sure what to think of that approach. I'm really frustrated and can't decide how to proceed when I feel like the diagnosis is unclear to me. Among other concerns about this approach, I've been told that surgeons don't like to operate on patients who are taking biologics due to worse healing outcomes.
